Contract Pharmacy Details

PARKWAY DRUGS OF ONEIDA CO
CHC33656-01 Upstate Family Health Center, Inc.

Covered Entity Details

Entity Name

Upstate Family Health Center, Inc.

Subdivision Name

Upstate Family Health Center, Inc. Kernan SBHC

Type

HRSA-Funded Health Center

340B ID

CHC33656-01

Entity Address

929 York St
Utica, NY 13502-3929

Grant Number

H80CS33656

Participating Start Date

7/1/2020

Last Recertification Date

2/2/2024

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

PARKWAY DRUGS OF ONEIDA CO

Pharmacy Address

1256 ALBANY ST
UTICA, NY 13501

Pharmacy Comments

Contract Details

Approval Date

4/16/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

John Milligan, Chief Executive Officer
(315) 624-9470 Ext: 260

Contract Pharmacy Representative

Parkway Drugs
Tony Chiffy, VP
(315) 735-3525

Signed By Date

4/16/2020

340B Drug Pricing Program Database